| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,884 |
3,279 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,557 |
2,390 |
$186K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
620 |
553 |
$18K |
| 87631 |
|
39 |
38 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
111 |
109 |
$5K |
| 99000 |
|
483 |
457 |
$438.30 |
| 90674 |
|
34 |
19 |
$344.08 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$298.13 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$162.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
18 |
$0.00 |